Urgent care request means a claim relating to an admission, availability of care, continued stay or health care service for which the covered person received emergency services but has not been discharged from a facility, or any Pre-Service Claim or concurrent care claim for medical care or treatment for which application of the time periods for making a regular external review determination:
Urgent care request means a request for a health care service or course of treatment with respect to which the time periods for making non-urgent care request determination:
Urgent care request means any pre-service or concurrent care claim for medical care or treatment for which application of the time periods for making a regular external review determination:
More Definitions of Urgent care request
Urgent care request means, for purposes of this regulation:
Urgent care request means a claim relating to an admission, availability of care, continued stay or health care
Urgent care request means a request for a health care service or course of treatment (A) for which the time period for making a non-urgent care request determination (i) could seriously jeopardize the life or health of the covered person or the ability of the covered person to regain maximum function, or (ii) in the
Urgent care request means a request for a health care service or course of treatment (A) for which the time period for making a non-
Urgent care request means a request for a health care service or course of treatment for which the time period for making a non- urgent care request determination (A) could seriously jeopardize the life or health of the covered person or the ability of the covered person to regain maximum function, or (B) in the opinion of a health care professional with knowledge of the covered person's medical condition, would subject the covered person to severe pain that cannot be adequately managed without the health care service or treatment being requested.
Urgent care request means a claim relating to an admission, availability of care, continued stay or health care service for which the Participant received emergency services but has not been
Urgent care request means a request for a health care service or course of treatment (A) for which the time period for making a non-urgent care request determination [(A)] (i) could seriously jeopardize the life or health of the covered person or the ability of the covered person to regain maximum function, or [(B)] (ii) in the opinion of a health care professional with knowledge of the covered person's medical condition, would subject the covered person to severe pain that cannot be adequately managed without the health care service or treatment being requested, or (B) for a substance use disorder, as described in section 17a-458, or for a co-occurring mental disorder, or (C) for a mental disorder requiring (i) inpatient services, (ii) partial hospitalization, as defined in section 38a-496, (iii) residential treatment, or (iv) intensive outpatient services necessary to keep a covered person from requiring an inpatient setting.